Please submit this form if you have registered for this workshop or if you are a prospective participant and would like to apply for a reduced rate based on financial need.

Name

Your answer

Email

Your answer

Job Position/Title

Your answer

Organization (please indicate school/program if you are a student)

Your answer

How would you evaluate your knowledge of human rights?

None

Low

Moderate

High

How many years of fundraising experience do you have?

0-1

2-5

More than 5

If you have fundraising experience, what kind?

Your answer

What are your goals for this training?

Your answer

How do you intend to apply what you learn in this workshop? How will you use this training?

Your answer

Financial Assistance (optional)

What is your annual income?

$0-$35,000

$35,000- $50,000

$50,000-$65,000

Greater than $65,000

Please briefly discuss your financial need/why it would be difficult for you to afford the training. (You may wish to include information such as whether you have outstanding student debt, are currently enrolled in school with a financial aid package, or work in the not-for-profit sector.)